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NPI Code Detail

MEDICARE: ARTHRITIS NORTHWEST PLLC

MEDICARE: ARTHRITIS NORTHWEST PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistL0636336WA

General Provider Information

NPI Number : 1558408104
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARTHRITIS NORTHWEST PLLC
Provider Business Mailing Address
First Line : 105 W 8TH AVE
Second Line : STE 6080
City : SPOKANE
State : WA
Zip : 99204-2302
Country : US
Telephone Number : 509-838-6500
Fax Number : 509-838-6561
Provider Business Practice Location Address
First Line : 105 W 8TH AVE
Second Line : STE 6080
City : SPOKANE
State : WA
Zip : 99204-2313
Country : US
Telephone Number : 509-838-6500
Fax Number : 509-838-6561
Authorized Official
Title or Position : BILLING SUPERVISOR
Name : MS. NANCY JANE M OXANDABOURE
Credential :
Telephone Number : 509-462-2827
Provider Enumeration Date : 01/31/2007
Last Update Date : 11/24/2009

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Directions to “ARTHRITIS NORTHWEST PLLC ” Practice Location

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